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Item / Location / Temperature
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DALLAS COUNTY HEALTH AND HUMAN SERVICES
ENVIRONMENTAL HEALTH DNISION
2377 N. STEMMONS FRWY. ROOM 607
(214)819-2115 Fax:(214) 819-2868
CITY
cos ~,~~~y~°/;~r1~~ingf;Source R~~t~i~r+e~ricm#s - :
~a#~~t~is~~~ " ` e Immecliate C4z~rectiv~,Acti~in' Remarks
6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good Hygienic Practices (Eating/Drinking/Smoking/Other)
9. Approved Source/Labeling
10. Sound Condition
l 1. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
13. Approved Systems (HACCP Plans/Time as Public Health Control)
14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
COS Fac~ty ttnd Eqwipment Requirements ;
~.. ,. ., ___ T~_...,.,~:.,.,, n,..:..a,.*;,,,, N„r T„ FxcPrc~ 10 Davs Remarks
15. E ui ment Ade uate to Maintain Product Tem erature
16. Handwash Pacilities Ade uate and Accessible
17. Handwash Facilities with Soa and Towels
18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erly Labeled/Stored/Used
21. Manual/Mechanical Warewashing and Sanitizing at ( ) pm/te~uperature
22. Mana er Demonstration of Knowled e/Certified Food Mana er
23. A roved Sewage/Wastewater Dis osal S stem, Pro er Dis osal
24. Thermometers Provided/Accurate/Pro erly Calibrated (t2 degrees Fahrenheit)
' ` 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re
26. Postin of Consumer Advisories (Heimilich/Disclosure/Reminder/Buffer Plate
- '' 27. Food Establishment Permit
` Inspected by: ~ Print: ~'f~ ~](1.~
Total
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